26444414 Visualization

A 58 Age - year Age - old Age man Sex had been suffering from general Sign_symptom fatigue Sign_symptom and severe Severity anemia Sign_symptom for several Duration months Duration .
His hemoglobin Diagnostic_procedure levels Diagnostic_procedure were 6.6 Lab_value g/dl Lab_value (normal range: 12–16 g/dl).
He had no History medical History history History and did History not History take History any History medicine History .
Esophagogastroduodenoscopy Diagnostic_procedure and colonoscopy Diagnostic_procedure did not reveal any significant bleeding Sign_symptom .
Abdominal Biological_structure computer Diagnostic_procedure tomography Diagnostic_procedure revealed a 2 Distance - cm Distance hypervascular Detailed_description tumor Sign_symptom in the small Biological_structure intestine Biological_structure (Fig.1).
Oral DBE Diagnostic_procedure detected a 2 Distance - cm Distance - diameter Distance reddish Color , submucosal Biological_structure tumor Detailed_description - like Detailed_description lesion Sign_symptom with surface Detailed_description ulceration Detailed_description in the jejunum Biological_structure , approximately 20 Biological_structure cm Biological_structure away Biological_structure from Biological_structure the Biological_structure Treitz Biological_structure ligament Biological_structure (Fig.2).
We did not perform biopsy Diagnostic_procedure because it can be difficult to stop bleeding in the case of hypervascular lesions.
Under the diagnosis of a small Disease_disorder bowel Disease_disorder tumor Disease_disorder , gastrointestinal Disease_disorder stromal Disease_disorder tumor Disease_disorder ( GIST Disease_disorder ), malignant Disease_disorder lymphoma Disease_disorder , or cancer Disease_disorder , we performed laparoscopic Detailed_description - assisted Detailed_description segmental Detailed_description resection Therapeutic_procedure of the jejunum Biological_structure with the dissection Detailed_description of Detailed_description lymph Detailed_description nodes Detailed_description .
Examination Diagnostic_procedure of the resected Detailed_description tumor Sign_symptom showed that it measured 19 Area   × Area   16 Area mm Area in diameter (Fig.3).
Histology Diagnostic_procedure revealed the proliferation Sign_symptom of Sign_symptom blood Sign_symptom capillaries Sign_symptom and granulation Sign_symptom tissue Sign_symptom , which was consistent with PG Disease_disorder (Fig.4).
The patient was discharged Clinical_event on postoperative Date day Date 9 Date without complication Sign_symptom and his anemia Sign_symptom improved Lab_value gradually without the need for oral Medication iron Medication after surgery.